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APPLICATI4N FOR CONSTRUC�'�N PERMIT everett <br /> �E��,�,� TO BE COMPLETED IN INK—PLEASE PRINT . � � <br /> cm oF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ ' ' <br /> BUILDING DEPARTMENT <br /> 259-BB10 <br /> f 1 DEMOLITION I_l COMBINATION I I BUILDING � Cl MECHANICAL (7�PLUMBING ❑ SION <br /> OVrt1ER M�IL�ODPE55 CITY 21P PHONE <br /> Sl�e vQ �Y,r�r�e.� /,h,2-��, llt,v �+x.nre,. cc�r�edf- 9 B 2 S$—960/ <br /> iENANT MAII�ODAESS T� CITV � ZIP PHONE <br /> ARLHITECTqIDESI�NEN M�IL�DDRESS GITY 21P PIqNE <br /> 6ENER0.GONTR�CT0f1 MALAODRE55 CI�Y ZIP FHONE UCENSEI <br /> - MECNANILALGONTR�CTOR M�IIADORE55 CI7Y IIP PIIONE IICENSE/ <br /> i PLUMBMOCONTR�GTOR M�ILAD�RE55 CITV ZIP VIION NSE/ <br /> a�dnrpl,�,{��;urs.s��viGe- '77/� -/�f/sT_sr's•w. �'v��sb� ol� Acr�i�os/S�SP <br /> cuss a wa�c • <br /> : I1 NEW (_l ADDITION O�ALTERATION ❑ REPAIR I_I DEMOLITION ❑ WOODSTOV�/FRPLINSERT ❑ BUILDINGRELOCATION <br /> fANT�GT FERSON/WO PHIX1E NO. <br /> CONTRACi PRICE OF WORK / � '�� <br /> �E IBE NtlNI(ANO SOU�RE FOOTAGE INVOLVEO <br /> PRDVOSEDUSEOFBUILDMO I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> - LEO�LDESCRIPTqNOF PROPERiV I�OM'�BELOW Ofi ATT�CN FWN COPI[5� PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � ior e�ocK ov NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO OIVE <br /> ! AUTHORITY TO VIOLATE OH CANCEL THE PROVISION3 OF ANY <br /> j OTHER STATE OR LOCAL LAW REGULATINQ CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> I OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS fv1ADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. G <br /> i Sq1MNRE OF COtlTP AUTNNiRED AOENT DATE � �^ 7 �/ <br /> i P ijlb'nC"' �j't�Y GQ. <br /> � X _ <br /> ' v�cr�ooness ��� <br /> � AP ANTSCI7Y IN NS NO. OWSINE <br /> � PLUMBINa MECHANICAL <br /> , NO. TYPE OF FlI(TURE OR ITEM FEE NO. TYPE OF EOUIPMEHT FEE <br /> � / WATER CLOSET(TOILET) � — NC—AIHNDLG UNITS—H.P. i <br /> ; BATHTUB �—' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> i LAVATORV(WASH BASIN) � i ' UNIT HEATERS—B.LU. M i <br /> SHOWER � CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP —;— VENTILATION FAN ; <br /> DISHWASHER �^ RAN6EHOOD � <br /> LAUNOHYTpAY ; WATEfl HEATER ' <br /> CLOTHES WASHER � WOOD STOVE i <br /> URINAL ' METAL FIREP6ACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN � FIHEPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � � <br /> BACKFLOW PREVENTERS ; GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN i <br /> SINK(SERVICE—BAR,ETC.) ' � <br /> � i <br /> —� i <br /> i i <br /> i i <br /> SUB TOTAL S � ; — SUB TOTAL S ' <br /> PERMIT S PERMIT S � <br /> TOTALFEE E '� TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�CK RE�RSETBALK SIDESETBRCN PLANCHECKNUMBEfl FEE REGEIPTNO. <br /> USEZONE LOTAREA V�CANI517E FEES VALUATION FEE <br /> BUILDING i <br /> 1VPEOfCONiS.�LLOWABIE TY1'[OfCONSi.ACN�L accur�xcY NOIXowuuNGUn15 � <br /> °R011P PLUMBING � <br /> SREOFBLOG. NO.OFSTONES BRSEMENi MECHANICAL i <br /> i <br /> OCCUP�NCY LOAO FlPE SPRKKtERS REOD NEIGHT LIMIT�TION AbDITIONAI PLAA CHECK j <br /> —i <br /> OiHER � <br /> IiE�50N FON SPRINNLERS � <br /> SiATE BUIL�ING SURCHA(iGE i <br /> MTAREBV i'UNSAPPROVEOAv CITYOFEVERETT PUBLICWORKS � <br /> IOCALSALES <br /> TAX CODE IS 3105 rora /�� � <br />